ICC19 RL-STD-WOP-19 1 WOP-12972 (11/25) CONTENTS Section Page General Provisions................................................................................................. 1 Waiver of Premium Benefit..................................................................................... 2 GENERAL PROVISIONS ELIGIBILITY If you are working for the Employer in an eligible class (shown in the Certificate’s SCHEDULE OF BENEFITS), you are eligible for this rider on the latest of the following dates:  The Policy effective date.  The date this rider is available to the eligible class of Insured Persons to which you belong.  Your disability income coverage effective date. EFFECTIVE DATE You will be covered at 12:01 a.m. standard time at the Policyholder’s address on the date you are eligible for this rider. TERMINATION This rider terminates on the earliest of the following:  The date your Certificate terminates, as outlined under the TERMINATION OF COVERAGE provision in your Certificate.  The date this rider is terminated for all Insured Persons under the Policy.  The date this rider is terminated for the eligible class of Employees to which you belong. This rider will not terminate while Premiums are being waived under the terms of this rider. TERMINATION OF COVERAGE The TERMINATION OF COVERAGE provision in your Certificate is revised to add this item to the terms under which your coverage ends:  The date Premiums are no longer being waived under this rider, if you are not in an eligible class on that date. WAIVER OF PREMIUM RIDER RELIASTAR LIFE INSURANCE COMPANY 250 Marquette Avenue, Suite 900, Minneapolis, Minnesota 55401 POLICYHOLDER: Noblesville Schools GROUP POLICY NUMBER: 73058-1STD2 This rider is made a part of the Group Short Term Disability Income Insurance Certificate and is subject to all of the provisions, limitations and exclusions of the Policy and Certificate, unless changed by this rider. Unless expressly changed by this rider, the terms used in this rider have the same meaning as in the Certificate.

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